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KYOUNGWHA JUNG NP-C
NPI 1952071896
Nurse Practitioner - Family in Peachtree Corners, GA

Active since September 13, 2021PECOS Enrolled
4980 AVALA PARK LN, PEACHTREE CORNERS, GA 30092(770) 713-1010 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyoungwha Jung Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYOUNGWHA JUNG NP-C (NPI 1952071896) is an individual family provider in Peachtree Corners, Georgia, licensed in Georgia (RN167385) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952071896
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKYOUNGWHA JUNGCredential: NP-C
Location Address4980 AVALA PARK LNPeachtree Corners, GA 30092-2194
Mailing Address4980 Avala Park LnPeachtree Corners, GA 30092-2194 · (770) 713-1010
Phone(770) 713-1010
Sole ProprietorYes
Enumeration DateSeptember 13, 2021
NPPES CertifiedSeptember 13, 2021
✔ NPI 1952071896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN167385
4980 AVALA PARK LN, Peachtree Corners, GA 30092
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyoungwha Jung Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyoungwha Jung's NPI number?

The NPI number for Kyoungwha Jung is 1952071896. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Where is Kyoungwha Jung located?

Kyoungwha Jung practices at 4980 Avala Park Ln, Peachtree Corners, GA 30092. The listed phone number is (770) 713-1010.

What is Kyoungwha Jung's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kyoungwha Jung enrolled in Medicare?

Yes. Kyoungwha Jung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyoungwha Jung was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.